CBCT及引导软件在甲状腺癌切除术后经皮栓塞淋巴漏中的应用价值
Usefulness of CBCT and guidance software for percutaneous embolization of a lymphatic leakage after thyroidectomy for cancer.
作者信息
Ierardi Anna Maria, Pappalardo Vincenzo, Liu Xiaoli, Wu Che-Wei, Anuwong Angkoon, Kim Hoon Yub, Liu Renbin, Lavazza Matteo, Inversini Davide, Coppola Andrea, Floridi Chiara, Boni Luigi, Carrafiello Gianpaolo, Dionigi Gianlorenzo
机构信息
Insubria University, Interventional Radiology, Department of Radiology, Varese, Italy.
1st Division of General Surgery, Research Center for Endocrine Surgery, Department of Surgical Sciences and Human Morphology, University of Insubria, Varese, Italy.
出版信息
Gland Surg. 2016 Dec;5(6):633-638. doi: 10.21037/gs.2016.12.13.
Lymphatic leakage can develop as an iatrogenic complication of thoracic, cardiac, and neck surgery. The management of this complication may be challenging and involves more specialists. Percutaneous, image-guided techniques may offer two advantages: mini-invasivity and ability to image and identify the anatomy and the site of the leakage. We report a case of refractory cervical chylous leakage after thyroidectomy and lymphadenectomy for cancer that was successfully treated with an ultrasound-guided intranodal lymphangiography and a percutaneous puncture of the leak performed using CBCT as imaging guidance.
淋巴漏可作为胸科、心脏和颈部手术的医源性并发症出现。这种并发症的处理可能具有挑战性，且需要更多专科医生参与。经皮影像引导技术可能具有两个优点：微创性以及能够对淋巴漏的解剖结构和部位进行成像和识别。我们报告了1例甲状腺癌切除及淋巴结清扫术后难治性颈部乳糜漏的病例，该病例通过超声引导下的结内淋巴管造影以及使用CBCT作为影像引导对漏口进行经皮穿刺而成功得到治疗。
Zotero 插件